Risk Adjustment
Point of Care Suspects

Identifying clinical indicators and flagging risk-adjustable opportunities are essential to complete and accurate risk adjustment coding. Being aware of these opportunities is essential—but the ability to quickly act on them is even more important.

Our SaaS-based Point of Care Suspects solution leverages industry-leading natural language processing (NLP) to quickly scan and analyze historical patient data across all sources and formats and present suspected risk-adjustable conditions within the provider’s clinical workflow.

With Point of Care Suspects, provider organizations can improve productivity and reduce time-consuming manual processes for clinicians and staff. No more cumbersome workflows, spreadsheets, or flat files; just the right information, at the right time, in the right place.


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cleanse

  • Reduce time spent reviewing historical chart data
  • Focus on active conditions impacting patient care and treatment
  • NLP suspecting identifies up to 30% more risk-adjustable opportunities compared to manual methods

Get the information that matters

Minimize unnecessary manual reviews with automatic routing directly to the EHR.

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focus

  • Enhance capture of both initially coded and recaptured conditions
  • Track and manage provider performance against KPIs
  • Create stronger connections between codes and clinical evidence to reduce compliance risk

Do more for patients

Deliver a more patient-centered experience

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act

  • Route substantiated clinical evidence directly to providers
  • Reduce charting time with pre-populated ICD-10 codes
  • Ensure accurate and complete care funding and reduce rejected claims

Put insights to good use

Focus on the conditions with the biggest impact on patient health.


Find out how we can support your health plan's performance.